2017-10-31T09:34:44-05:00 2016-12-31 474526160 EFPR GROUP CPAS PLLC 280 KENNETH DRIVE ROCHESTER NY 14623 990 2016-01-01 160743146 ST ANN'S HOME FOR THE AGED STAN 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT SENIOR VICE PRESIDENT & CFO 5856976307 2017-10-23 1 CHRISTOPHER JOHNSTON P00896198 5854278900 2017-10-23 64.88.174.3 2017-10-23 15:46:19 ED P BE935AE4703465E2E97F1EA689C26804D8B216D1 02F8780CD752D1165F30245D312698C5788B2E93 2016 2021-01-29 14:40:06Z DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 73101560 0 X WWW.STANNSCOMMUNITY.COM X 1874 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS IN A SKILLED NURSING FACILITY. 19 13 1566 401 8897 7897 1988742 2596554 63396301 60673684 994248 724938 933951 1173167 67313242 65168343 56908 61540 0 0 43891244 44314070 0 0 0 21086085 20391497 65034237 64767107 2279005 401236 82654326 85679292 59878810 59010161 22775516 26669131 X SINCE OUR FOUNDING IN 1874, OUR MISSION HAS BEEN TO PROMOTE THE HIGHEST LEVELS OF INDEPENDENCE, PHYSICAL AND SPIRITUAL WELL-BEING OF OLDER ADULTS IN THE CATHOLIC TRADITION OF EXCELLENCE IN CARE AND SERVICES. ST. ANN'S COMMUNITY, OTHERWISE KNOWN AS ST. ANN'S OF GREATER ROCHESTER, INC., OFFERS A CONTINUUM OF SERVICES FOR SENIORS IN THE GREATER ROCHESTER AREA THROUGH THESE AFFILIATED ORGANIZATIONS: ST. ANN'S HOME FOR THE AGED, ST. ANN'S NURSING HOME COMPANY, INC., CHAPEL OAKS, INC., ST. ANN'S FOUNDATION, INC., AND ST. ANN'S SENIOR HOUSING, INC. ST. ANN'S HOME FOR THE AGED (ST. ANN'S HOME) IS A 388 BED LICENSED SKILLED NURSING FACILITY. SPECIALIZED CARE OFFERED IN THIS FACILITY INCLUDES 60 UNITS DEDICATED TO PROVIDING SHORT-TERM POST-ACUTE REHABILITATION AND COMPLEX MEDICAL SERVICES, AND 36 UNITS PROVIDING DEMENTIA CARE. ST. ANN'S HOME ALSO OPERATES HOME CONNECTION, A 30 SLOT MEDICAL ADULT DAY PROGRAM AND HOME & HEART, A SOCIAL ADULT DAY PROGRAM AT TWO SATELLITE CENTERS SERVING 27 PEOPLE. 0 0 54674541 61540 60863595 ST. ANN'S HOME FOR THE AGED (ST. ANN'S HOME) IS A 470 BED LICENSED SKILLED NURSING FACILITY THAT INCLUDED THESE SERVICES DURING THE 2016 FISCAL YEAR: SKILLED NURSING CARE PROVIDED A TOTAL OF 137,805 DAYS OF CARE. INCLUDED IN THESE NUMBERS ARE BED DAYS FOR THE SPECIAL CARE UNIT, A 36 BED DEMENTIA CARE UNIT.THE WEGMANS TRANSITIONAL CARE CENTER PROVIDES 72 BEDS DEDICATED TO PROVIDING SHORT TERM POST ACUTE REHABILITATION. OUR TCC PROGRAM PROVIDED A TOTAL OF 23,603 DAYS OF CARE. THE LEO CENTER FOR CARING IS A 10-BED HOSPICE UNIT AND PROVIDED 1,822 DAYS OF CARE. THE HOME CONNECTION PROGRAM PROVIDED 30 SLOTS FOR MEDICAL ADULT DAY SERVICES AND THE HOME & HEART PROGRAM OFFERED SOCIAL ADULT DAY CARE AT TWO SATELLITE CENTERS SERVING 38 PEOPLE. DURING 2016, XX,XXX HOURS OF CARE WERE PROVIDED TO PARTICIPANTS OF BOTH PROGRAMS. 54674541 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 17 0 1 1566 1 1 1 0 0 0 0 0 0 0 0 0 X 19 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X DENNIS KANT SENIOR VICE PRESIDENT & CFO 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 X MARGARET BRINGEWATT IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 JOSEPH STANKAITIS MD CHAIR 1.00 X X 0 0 0 PATRICK BURKE DIRECTOR 1.00 X 0 0 0 CHERYL RYAN DIRECTOR 1.00 X 0 0 0 CRAIG BURTON DIRECTOR 1.00 X 0 0 0 THOMAS COMBS DIRECTOR 1.00 X 0 0 0 MARK CRONIN DIRECTOR 1.00 X 0 0 0 RONALD SALLUZZO DIRECTOR 1.00 X 0 0 0 KENT GARDNER CHAIR ELECT 1.00 X X 0 0 0 JAMES LEO TREASURER 1.00 X X 0 0 0 REV KEVIN MCKENNA DIRECTOR 1.00 X 0 0 0 SISTER MARLENE PAPE DIRECTOR 1.00 X 0 0 0 MICHAEL PINCH DIRECTOR 1.00 X 0 0 0 MAURICIO RIVEROS DIRECTOR 1.00 X 0 0 0 ANN MCCORMICK DIRECTOR 1.00 X 0 0 0 JILL WYNN DIRECTOR 1.00 X 0 0 0 MICHAEL MCRAE PRESIDENT/CEO 34.00 6.00 X X 369054 0 32897 MICHELLE ASHBY DIRECTOR 1.00 X 0 0 0 ANNA LYNCH DIRECTOR 1.00 X 0 0 0 DENNIS KANT SENIOR VP/CFO 20.00 20.00 X 214010 0 19670 ROBERT BOURG VP OF ORGANIZATIONAL TRAIN 31.00 9.00 X 172363 0 24206 STEVEN SMITH VP OF FOUNDATION & RESOURC 6.00 34.00 X 173643 0 24162 SUSAN MURTY VP ADMINISTRATOR 35.00 5.00 X 204913 0 24930 DIANE KANE MD CHIEF MEDICAL DIRECTOR 7.00 33.00 X 339969 0 43060 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 36.00 4.00 X 288234 0 39903 JOHN JURIK MD ASSOCIATE MEDICAL DIRECTOR 36.00 4.00 X 211666 0 19769 JARVIS SANCHEZ-RIVERA MD STAFF ATTENDING PHYSICIAN 36.00 4.00 X 210786 0 24684 MICHAEL SEELIG VP OF HOUSING 0.00 40.00 X 142522 0 23499 2327160 0 276780 29 0 1 0 ADP INC PO BOX 842875 BOSTON MA 02284 PAYROLL PROCESSING 345964 RAYMOND E KELLEY INC 33 MAIN STREET BOWMANSVILLE NY 14026 BRICK RESURFACING 321885 UNDERBERG & KESSLER LLP 300 BAUSCH LOMB PLACE ROCHESTER NY 14604 LEGAL SERVICES 160639 MEDICAB 1449 HUDSON AVENUE ROCHESTER NY 14621 TRANSPORTATION SERVICES 154000 ANTITHESIS ADVERTISING 72 CASCADE DRIVE ROCHESTER NY 14614 ADVERTISING SERVICES 150430 5 2589982 6572 2596554 NET RESIDENT SERVICE REVENUE 623000 57729549 57729549 SUPPORT SERVICES 623000 2944135 2944135 60673684 523795 523795 111783 36053 75730 75730 75730 8057041 7855898 201143 201143 201143 87139 41266 45873 45873 MEAL REVENUE 900099 506073 506073 MISCELLANEOUS 900099 402957 189911 213046 SEAGATE/RAHSA 900099 184899 8897 176002 -42365 -42365 1051564 65168343 60863595 8897 1699297 61540 61540 1259848 1259848 33805488 29994647 3810841 1528119 1306968 221151 5255199 4460354 794845 2465416 2108618 356798 242010 3581 238429 28350 28350 74514 74514 1880595 1001788 878807 89215 63181 26034 745249 463214 282035 723146 723146 956104 921509 34595 347509 275341 72168 828690 828690 4698995 4698995 489540 10628 478912 NYS ASSESSMENT 2943727 2943727 MEDICAL SUPPLIES 2835749 2834985 764 FOOD 1861551 1738868 122683 OTHER EXPENSES 1175276 800991 374285 471277 156916 314361 64767107 54674541 10092566 0 2124190 5392197 2140720 2190381 6552803 5952088 434240 467844 936810 669433 70476970 27144580 43817672 43332390 14565525 16247706 981886 1117158 11100480 10310095 82654326 85679292 30201254 29613993 788 444 28306066 27598969 1370702 1796755 59878810 59010161 X 14616279 18307197 7235561 7410115 923676 951819 22775516 26669131 82654326 85679292 X 401236 1136638 2355741 X X 0 1 X 1 0 X 1559054 487370 2048746 1988742 2596554 8680466 55072828 57051061 59870406 63397519 60760823 296152637 56631882 57538431 61919152 65386261 63357377 304833103 0 0 0 304833103 488143 465895 774852 800934 635578 3165402 488143 465895 774852 800934 635578 3165402 740850 863280 669879 807955 1051564 4133528 57860875 58867606 63363883 66995150 65044519 312132033 0.97660 0.97840 0.01010 0.00940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5863168 713073 6576241 6028846 -165678 5863168 5705040 323806 6028846 4779686 925354 5705040 3898835 471796 4370631 0.00000 0.08660 0.91340 0 0 122823 122823 42635578 15721343 26914235 540 360 180 25745012 10592156 15152856 1973017 830721 1142296 43332390 BENEFICIAL INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 33399 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 382113 BENEFICIAL INTEREST IN REMAINDER TRUSTS 1370181 DUE FROM AFFILIATES 7030246 DUE FROM AFFILIATES, PENSION CONTRIBUTIONS 816410 DUE FROM THIRD PARTY PAYORS 677746 10310095 DEFERRED COMPENSATION 573902 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 617158 FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 605695 1796755 X 65719392 1136638 2355741 3492379 62227013 74514 2866816 2941330 65168343 61825777 -2866816 -2866816 64692593 74514 74514 64767107 PART V, LINE 4: INCOME FROM ENDOWMENT FUNDS ARE TO BE USED FOR IT'S CORPORATE PURPOSE. PART X, LINE 2: THE HOME IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS EXEMPT INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE HOME'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. IN ACCORDANCE WITH ASC 740-10-50, THE HOME WILL RECOGNIZE THE TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES. MANAGEMENT BELIEVES THAT THE HOME IS CURRENTLY OPERATING IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS HAS BEEN INCLUDED ON THE HOME'S FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 243,314. PENSION LIABILITY ADJUSTMENT 2,487,531. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 68,443. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS -3,526. CHANGE IN INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. -575,293. CHANGE IN JOINT VENTURE INVESTMENT 135,272. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -36,053. GIFT SHOP EXPENSES -41,266. SUPPORT SERVICES 2,944,135. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 36,053. GIFT SHOP EXPENSES 41,266. SUPPORT SERVICES -2,944,135. 1 ST ANN'S OF GREATER ROCHESTER INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161494042 501(C)(3) 61540 CASH FINANCIAL SUPPORT 1 0 SCHEDULE I, PART I, LINE 2: THE ORGANIZATION PROVIDES PERIODIC REPORTS DETAILING THE USE OF THE GRANT FUNDS TO THE BOARD OF DIRECTORS. X X X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 MICHAEL MCRAE PRESIDENT/CEO 366804 0 0 0 2250 0 29408 0 3489 0 401951 0 0 0 DENNIS KANT SENIOR VP/CFO 214010 0 0 0 0 0 11142 0 8528 0 233680 0 0 0 ROBERT BOURG VP OF ORGANIZATIONAL TRAIN 172363 0 0 0 0 0 8812 0 15394 0 196569 0 0 0 STEVEN SMITH VP OF FOUNDATION & RESOURC 173643 0 0 0 0 0 9320 0 14842 0 197805 0 0 0 SUSAN MURTY VP ADMINISTRATOR 204913 0 0 0 0 0 10441 0 14489 0 229843 0 0 0 DIANE KANE MD CHIEF MEDICAL DIRECTOR 339969 0 0 0 0 0 28607 0 14453 0 383029 0 0 0 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 288234 0 0 0 0 0 25061 0 14842 0 328137 0 0 0 JOHN JURIK MD ASSOCIATE MEDICAL DIRECTOR 211666 0 0 0 0 0 11269 0 8500 0 231435 0 0 0 JARVIS SANCHEZ-RIVERA MD STAFF ATTENDING PHYSICIAN 210786 0 0 0 0 0 9800 0 14884 0 235470 0 0 0 MICHAEL SEELIG VP OF HOUSING 142522 0 0 0 0 0 8057 0 15442 0 166021 0 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $2,250; AND REIMBURSEMENT OF PROFESSIONAL COACHING FEES OF $28,044. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE PRESIDENT/CEO AND WERE INCLUDED AS WAGE COMPENSATIONON ON THE FORM W-2. PART I, LINE 7 80% IS TIED TO KEY ORGANIZATIONAL GOALS. 20% IS TIED TO INDIVIDUAL PERFORMANCE VS. ORGANIZATIONAL GOALS. PATRICK BURKE BOARD MEMBER OF ST. ANN'S COMMUNITY 85486 PATRICK BURKE IS A CURRENT BOARD MEMBER AND MANAGING PRINCIPLE OF BURKE GROUP. ST. ANN'S ENGAGES BURKE GROUP AS ADMINISTRATOR OF IT'S RETIREMENT PLANS AND FOR ACTUARIAL SERVICES RELATED TO THESE PLANS. 0 DR DIANE KANE KEY EMPLOYEE OF ST. ANN'S HOME FOR THE AGED 89197 ST. ANN'S COMMUNITY MEDICAL PRACTICE IS A FOR-PROFIT ENTITY OWNED IN PART BY DR. KANE. DR. KANE IS ALSO THE CHIEF MEDICAL OFFICER FOR ST. ANN'S HOME FOR THE AGED. THE ST. ANN'S MEDICAL PRACTICE PURCHASES SERVICES FROM ST. ANN'S WHICH INCLUDES DR. KANE'S TIME AS WELL AS ADDITIONAL NURSING AND ADMINISTRATIVE SUPPORT, TIME AND SPACE. FEES PAID TO ST. ANN'S COMMUNITY (ST. ANN'S HOME AND RELATED ORGANIZATIONS) TOTAL $89,197 FOR 2016. 0 ANNA LYNCH BOARD MEMBER OF ST. ANN'S COMMUNITY 160639 ANNA LYNCH IS A CURRENT BOARD MEMBER AND MANAGING PARTNER OF UNDERBERG & KESSLER LLP. ST. ANN'S ENGAGES UNDERBERG & KESSLER FOR LEGAL SERVICES. 0 REV KEVIN MCKENNA BOARD MEMBER OF ST. ANN'S COMMUNITY 10651 REV. KEVIN MCKENNA IS A CURRENT BOARD MEMBER AND REVEREND OF SACRED HEART CATHEDRAL. ST. ANN'S RENTS SPACE AT SACRED HEART CATHEDRAL FOR ITS ADS PROGRAM. 0 MICHELLE ASHBY BOARD MEMBER OF ST. ANN'S COMMUNITY 126968 MICHELLE ASHBY IS A CURRENT BOARD MEMBER AND PRESIDENT/CEO OF TIPPING POINT MEDIA. ST. ANN'S ENGAGES TIPPING POINT MEDIA FOR MARKETING CONSULTING. 0 FORM 990, PART VI, SECTION B, LINE 11B THE INFORMATION FOR THE REPORT IS PREPARED BY ST. ANN'S STAFF, PROVIDED AND REVIEWED BY EFPR GROUP, LLP. FINAL REPORTS ARE REVIEWED BY THE ST. ANN'S ACCOUNTING TEAM, INCLUDING THE DIRECTOR OF FINANCE AND CFO, AND PROVIDED TO THE CEO AND BOARD MEMBERS FOR COMMENTS PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS (INCLUDING THE PRESIDENT AND CEO) ARE REQUIRED TO ANNUALLY COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE FORMS ARE THEN REVIEWED BY THE VP OF ORGANIZATIONAL DEVELOPMENT AND ANY POTENTIAL CONFLICTS ARE DEALT WITH AS NEEDED INCLUDING ABSTAINING FROM VOTING ON MATTERS RELATED TO SUCH CONFLICTS. ANY PERSON COVERED BY THE POLICY SHALL NOT KNOWINGLY USE HIS OR HER POSITION FOR PERSONAL GAIN, TO COMPROMISE ST. ANN'S INTERESTS, OR TO ALLOW A CONFLICT TO ARISE BETWEEN ST. ANN'S INTEREST AND HIS OR HER PERSONAL INTEREST. FORM 990, PART VI, SECTION B, LINE 15 EACH YEAR AN INDEPENDENT WAGE STUDY IS CONDUCTED BY A CONSULTANT. DIRECTORS AND ABOVE, EXCEPT CEO, ARE REVIEWED BY THE VP OF HR AND CEO WITH ADJUSTMENTS MADE AS NEEDED TO MAINTAIN COMPETITIVENESS. CEO DATA IS REVIEWED BY A COMMITTEE INCLUDING THE BOARD CHAIR, PAST BOARD CHAIR, AND HR COMMITTEE CHAIR. ADJUSTMENTS MADE AS NEEDED TO MAINTAIN MARKET COMPETITIVENESS. 2016 VPS AND CEO DATA REVIEWED; 2016 DIRECTOR LEVEL DATA REVIEWED. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: ALL OFFICERS AND EMPLOYEES REPORTED ON PART VII ARE FULL TIME EMPLOYEES OF THE ST. ANN'S COMMUNITY (ST. ANN'S HOME FOR THE AGED ("SAH") AND RELATED ORGANIZATIONS) WORKING AN AVERAGE OF 40 HOURS PER WEEK. HOURS REPORTED IN COLUMN B OF PART VII ARE THE AVERAGE HOURS RELATED TO WORK PERFORMED FOR SAH. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 243,314. PENSION LIABILITY ADJUSTMENT 2,487,531. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 68,443. CHANGE IN VALUE OF BENEFICIAL INTEREST IN NET ASSETS OF ST. ANN'S FDN, INC. -575,293. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS -3,526. CHANGE IN JOINT VENTURE INVESTMENT 135,272. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. ST ANN'S FOUNDATION INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161379536 HEALTH CARE NY 501(C)(3) LINE 12A, I ST ANN'S OF GREATER ROCHESTER INC 0 ST ANN'S NURSING HOME COMPANY INC DBA THE HERITAGE 1500 PORTLAND AVENUE ROCHESTER NY 14621 237098164 HEALTH CARE NY 501(C)(3) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 ST ANN'S OF GREATER ROCHESTER INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161494042 HEALTH CARE NY 501(C)(3) LINE 12B, II N/A 0 ST ANN'S SENIOR HOUSING INC DBA CHERRY RIDGE 1500 PORTLAND AVENUE ROCHESTER NY 14621 760705854 HEALTH CARE NY 501(C)(3) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 CHAPEL OAKS INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161489340 HEALTH CARE NY 501(C)(3) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1